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Philadelphia and Mainline Center of Dermatology and Cosmetic Surgery
Hair Restoration With Dr. Milchak

Hair Transplant

Hair transplants techniques have improved dramatically in the past few years. Advances in FUE techniques provide us the tools to deliver natural results that were not available before.

Hair Restoration With Dr. Milchak

In the past 16 years Ringpfeil Advanced Dermatology has became one of the largest dermatology practices in the Philadelphia are to treat hair loss in both men and women. We see over 700 hair loss patients each year. We help our patients find the root cause of their hair condition, we treat their condition medically, and we offer hair restoration to patients are good candidate for the treatment.

We build one of the most advanced hair transplant centers in the Philadelphia area. Dr. Milchak, our Dirctor of Hair Transplant utilizes both FUI and FUT techniques, combined with light therapy, stem cell, and PRP

Dr. Marissa Milchak - Director of Hair Medicine and Hair Transplant

Facial Hair Transplant

Dr. Marissa Milchak is the Director of Hair Medicine and Hair Transplant at Ringpfeil Advanced Dermatology.

Seeing over 700 hair loss patients each year, Dr. Milchak and her team deliver the most advanced medical and surgical hair restoration treatments available today.

Dr. Milchak is a fellow of the American Academy of Dermatology and a member of the International Society of Hair Restoration Surgery.

Dr. Milchak sees Hair Restoration patients at both our Main Line and Philadelphia Center City offices.

FUE Hair Transplant

FUE - Follicular Unit Extraction - is a relatively newer technique in which the surgeon takes individual hair folilcles from a donor area and plug them accurately in the target area. The donor area are usually located in the back of the head where most people have denser hair.

Follicular Units

Follicular units

FUT (Strip) Hair Transplant

FUT Hair Transplant was the first big leap forward in hair transplant in recent years. Here, a strip of skin is cut from the donor area (usually the back of the head, where hair is usually denser). The extracted strip is then dissected and single follicles are separated and prepared for implantation in the target area. The open edges of the donor area are then pulled towards each other and sewn together creating a nerrow scar that is later covered by the hair.

Hair Restoration With Dr. Milchak
Hair Restoration before and after
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FUT - Follicle Harvesting Steps

  • The number of follicles needed is calculated
  • Density in donor area is measured, and strip location and dimension is determined
  • Strip area is marked and shaved
  • Local anathetic is applied to the area
  • Dr. makes the incision to remove the the strip
  • The Dr. sutures and close the skin
  • Technicians separate the follicles from the strip and store them in holding solution

Hair Transplant - Insertion by Dr.Milchak from Ringpfeil Advanced Dermatology on Vimeo.

FUE VS. FUT

FUE & FUT - different in harvesting but similar in implantation

AdvantageFUEFUT
FUT Graft survival rateLower (85%)Higher (95%)
FUTShaving donor area neededYesNo
FUT# grafts from "safest" donor areaSmallerLarger
FUT#grafts / daySmaller (up to ~2500)Larger (up to ~3500)
FUEScaring in donor area - shapeDot-likeLinear
FUEScaring - Hiding byShort hairLong hair
FUERecovery timeShorter (a day or two)Longer (two days or more)
FUEInvasive procedureNoYes
FUEDonor area sizeBroaderLimited
Similar# of lifetime grafts~6000~6000
SimilarTarget area natural lookYesYes

Pricing

$5-$6 per graft

Facial Hair Transplant

Facial Hair Transplant

We see a very strong demand for beard transplant. While the transplant to this area raises some chanllanges, the patient satisfaction for that procedure is extremely high.

The donor area can be hair from an area between the neck and the chin, but in most cases this area can not supply enough grafts satisfy the desired results. In most cases, most of the hair will be harvested from the occipital scalp (back of the head).

The visible location of the implantation calls for very accurate and artistic implantation. Wrong insertion angles and inconsistant density becomes very visible. The facial hair consists of single and double follicular units that needs to get out of the surface in a 10-20 degree angle.

Most of our patients who are interested in this procedure are 25-35 young man who are looking to increase hair density and hair uniformity. Some patients are interested to enhance specific facial areas such as the sideburn, cheek, or chin.

Dr. Marissa Milchak performin hair transplant surgery

Hair loss causes and treatments

Forms of hair lossCauseTreatments
androgenetic alopeciamale/female pattern hair thinning
hormones, genetics
topical/oral minoxidil
finasteride
spironolactone
PRP( platelet rich plasma)
hair transplant
alopecia areata autoimmune condition in which the body attacks hair follicles topical therapies
steroid injections
light therapy
systemic immunosuppressants
telogen effluvium "stress" hair loss, illnesses, childbirth, surgeries, rapid weight loss, emotional/mental distress time- usually reverses
topical minoxidil
PRP
trichotillomania habitual hair pulling
can be associated with OCD or
other psychiatric conditions
habit-reversal therapy
antidepressants
N-acetylcysteine
PRP
hair transplant (after pulling stops)
traction alopecia habitual hair pulling
can be associated with OCD or
other psychiatric conditions
loose hairstyles
topical therapies
steroid injections
hair transplant (after pulling stops)
lichen planopilaris (LPP) frontal fibrosing alopecia (FFA) inflammation attacking hair follicles topical therapies
steroid injections
finasteride
light therapy
systemic immunosuppressants
central centrifugal
cicatricial alopecia (CCCA)
unknown- genetics? chemicals/heat? topical therapies
oral antibiotics
antimalarials
steroid injections
PRP
hair transplant

Male Baldness Pattern - Norwood Classification System

Male Baldness Pattern - Norwood Classification System

Donor Area

The Norwood Class VII depicts the relatively safer donor area. When planing the harvesting the surgeon applies considerations such as

  • Hair density
  • Hair caliber
  • Hair pigment
  • Changes in hair properties as patient ages
  • Root cause for hair loss
  • Hormones stability
  • Reserves for future treatments

How can we help you?

SKIN

Related Procedures

Body Contouring

# of surveys: 3913
Last updated: 12/1/2021 11:06 AM

PATIENT RATINGS

Would you recommend us?

definitely
93.1%
probably
6.16%
maybe
0.58%
not likely
0.08%
no
0.02%

Compare our service to other similar practices

excellent
87.9%
very good
10.1%
good
1.8%
poor
0.06%
very poor
0%

Overall doctor performance

excellent
94.2%
very good
4.89%
good
0.80%
poor
0.03%
very poor
0%

The doctor listened to you attentively

excellent
93.9%
very good
4.97%
good
1.05%
poor
0.05%
very poor
0%

The doctor took time to answer your questions

excellent
94.0%
very good
4.66%
good
1.27%
poor
0.02%
very poor
0%

The doctor explained treatment options

excellent
94.3%
very good
4.16%
good
1.25%
poor
0.14%
very poor
0.02%

The doctor explained treatment options

excellent
92.0%
very good
5.69%
good
2.18%
poor
0.11%
very poor
0.0%

Front desk performance

excellent
85.6%
very good
10.2%
good
3.66%
poor
0.31%
very poor
0.08%

Aesthetician performance

excellent
88.6%
very good
7.61%
good
3.39%
poor
0.24%
very poor
0.08%

Office comfort

excellent
90.9%
very good
6.93%
good
2.08%
poor
0.05%
very poor
0.05%

Parking

excellent
66.4%
very good
14.4%
good
15.7%
poor
2.49%
very poor
0.9%

Friendliness of the staff during appointment

excellent
90.9%
very good
7.23%
good
1.85%
poor
0.05%
very poor
0%

What WE DID WELL

(Answers:674)

The Dr. was very kind, compassionate and respectful as well as knowlegeable of alternative ways. She is a real doll. Happy to have her as my doc and would recommed her to clients at Arrowroot Health Food Store.

#12021-11-05

Everything was great!

#22021-03-23

Clear information about treatment options which had not been offered in the past. It is possible that these treatment options are new, but it is also possible that the physician is especially knowledgeable.

#32021-01-12

the music and decor of the facility

#42020-12-07

Outstanding experience across the board: Dr. R, Melissa, staff, facility.

#52010-11-29 10:34:31

The staff were very professional and service was above those i have had in the past.

#62011-03-29 09:40:00

There didn't seem to be an overload of other patients in the office, which is what I am normally used to from other offices.

#72011-01-04 15:49:01

Dr. Ringpfeil was great. She answered all concerns and questions extremely professionally.

#82021-06-13

All was excellent

#92011-05-03 10:51:30

I normally am turned off by palatial offices, but the office is so aesthetically beautiful, the fittings and art work so exquisite, that I am filled with admiration.

#102021-02-06

What can we do better?

(answers:373)

nothing

#12010-09-13 14:34:51

Do no change

#22010-08-19 14:48:13

I cant think of anything

#32021-12-01

More convenient office hours for those who work during the day. Perhaps one evening?

#42011-03-16 11:16:24

I wasn't aware that you can register online as a new patient. Can you guys make new patience aware

#52011-07-12 14:35:20

More upbeat music! The warm temperature and the John Mayer-esque music made me feel as if it were bedtime =)

#62011-09-16 11:42:32

Be on time for our appointments

#72011-11-16 13:56:14

Everything was excellent.

#82021-06-27

I had requested an email for appointment purposes. Was never sent. Other than that - Excellent!

#92021-05-23

The entire visit was just perfect so I had no suggestions at this time.

#102010-10-05 12:14:11
Customer Rating : 4.5

Based on 275 ratings
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